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一项荟萃分析:维生素D在睡眠障碍中是否发挥着有前景的作用?

A meta-analysis: Does vitamin D play a promising role in sleep disorders?

作者信息

Yan Shoumeng, Tian Zhenwei, Zhao Hantong, Wang Changcong, Pan Yingan, Yao Nan, Guo Yinpei, Wang Han, Li Bo, Cui Weiwei

机构信息

Department of Epidemiology and Biostatistics School of Public Health Jilin University Changchun P. R. China.

Department of Emergency and critical care The Second Hospital of Jilin University Changchun P. R. China.

出版信息

Food Sci Nutr. 2020 Sep 9;8(10):5696-5709. doi: 10.1002/fsn3.1867. eCollection 2020 Oct.

Abstract

BACKGROUND

Sleep disorders, one of the most common problems in the general population, have been related to a series of harmful health consequences. Vitamin D appears to be associated with sleep disorders. However, the difference in vitamin D levels between sleep disorder subjects and people without a sleep disorder is unclear. Simultaneously, the influence of vitamin D replenishment on sleep disorders remains controversial.

METHODS

PubMed, MEDLINE, Web of Science, and Cochrane Library were searched for literatures published until October 2019. Using a random effects model, a meta-analysis was conducted to calculate the standard mean difference to evaluate the difference in vitamin D concentrations between sleep disorder subjects and normal people and the efficacy of vitamin D supplementation on sleep disorders.

RESULTS

Our study found that the serum vitamin D levels in the sleep disorder subjects were lower than that in the normal people (SMD = -0.75 ng/ml, 95% CI = -0.93, -0.57 ng/ml). Moreover, the Pittsburgh Sleep Quality Index (PSQI)in the subjects with vitamin D supplementation was lower than that in the controls (SMD = -0.45, 95% CI = -0.76, -0.13).

CONCLUSIONS

Vitamin D could play a promising role in sleep disorders. More data are required to confirm the efficacy of vitamin D supplementation for improving sleep disorders.

摘要

背景

睡眠障碍是普通人群中最常见的问题之一,与一系列有害的健康后果相关。维生素D似乎与睡眠障碍有关。然而,睡眠障碍患者与无睡眠障碍者之间维生素D水平的差异尚不清楚。同时,补充维生素D对睡眠障碍的影响仍存在争议。

方法

检索了PubMed、MEDLINE、科学网和考克兰图书馆中截至2019年10月发表的文献。采用随机效应模型进行荟萃分析,计算标准化均数差,以评估睡眠障碍患者与正常人之间维生素D浓度的差异以及补充维生素D对睡眠障碍的疗效。

结果

我们的研究发现,睡眠障碍患者的血清维生素D水平低于正常人(标准化均数差=-0.75 ng/ml,95%置信区间=-0.93,-0.57 ng/ml)。此外,补充维生素D的受试者的匹兹堡睡眠质量指数低于对照组(标准化均数差=-0.45,95%置信区间=-0.76,-0.13)。

结论

维生素D可能在睡眠障碍中发挥重要作用。需要更多数据来证实补充维生素D改善睡眠障碍的疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afde/7590291/1944406ba8e7/FSN3-8-5696-g001.jpg

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